Jennifer Rose Black, M.S., CCC-SLP
NPI #1275606816 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1275606816
- Entity Type
- Individual
- Name
- Jennifer Rose Black, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 207 E 5TH ST
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711-1660
- Phone
- (417) 926-3177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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